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BLD2004-00749
I • • MLA04-00666 Review Type: 1 MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT #: BLD04-00749 Received Date: 11/30/2004 SITE ADDRESS: 2701 EAST QUILCENE RD QUILCENE, 98376 APPLICANT: ADAM NEWMAN PHONE: (360) 765-3965 2630 EAST QUILCENE RD 1 QUILCENE WA 98376 SUBDIVISION: NEWMANS DOMAIN SHORT PLAT Block: Lot: 1+ PARCEL NUMBER: 701292031 Section: 29 Township: 27 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER: REPRESENTATIVE: PHONE: PROJECT DESCRIPTION: NEW MFH TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE: TYPE OF IMP NEW MAKE: SETBACK: VALUATION YEAR: BANK HEIGHT: LABOR & INDUSTRIES APPROVAL? SIZE: SEWAGE DISPOSAL: CON WATER SYSTEM: PWELL BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO Exist: Exist: STORMWATER: YES NO AREA Plat Conditions Prop: 3 Prop: 2 Wetland Erosion Total: 3 Total: 2 Seismic Streams Flood Way Floodplain Routing at F&W Landslide I a1a 16(1Q Shoreline Aquifer Type Amount Paid Bv: Date: Receipt: A O� /C D Manufactured Homes $154.00 KAS 11/30/04 68775 �,J �/ G Potable Water Application $52.00 KAS 11/30/04 68775 DEC 2 2 2004 Total: $206.00 Jefferson Cou Planning ro3- 4 8 dng nty a �n, 7 • 0 MANUFACTURED/MOBILE HOME INSTALLATION PERMIT Jefferson County Department of Community Development 621 Sheridan Street. Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD04-00749 Received Date: 11/30/2004 SITE ADDRESS: 2701 EAST QUILCENE RD Issue Date: 12/22/2004 QUILCENE, 98376 APPLICANT: ADAM NEWMAN 2630 EAST QUILCENE RD QUILCENE WA 98376 SUBDIVISION: NEWMANS DOMAIN SHORT PLAT Block: Lot: 1+ PARCEL#: 701292031 Section: 29 Township: 27 N Range: 01 W CONTRACTOR/ OWNER/BUILDER PHONE: DEALER PROJECT DESCRIPTION: NEW MFH MAKE: YEAR: SIZE: THIS PERMIT IS VALID FOR ONE YEAR. THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR. THE EXPIRATION DATE IS 12/22/2005. CALL IN FOR THE REQUIRED INSPECTIONS THAT APPLY TO YOUR PROJECT. ackJFooting (CONTINUOUS FOOTING, SLAB or PADS USED): Stormwater FINAL Approval: t.//-J-O r Blocking/Plumbingt-�c., !////- / - Dr" J -cepane Tank/Lines Zonitig Final Approval: Septfe System Final Approval (If not on sewer): BoadApproach Final Approval: Final/Skirting/Vents/Porches/Steps: r'1N( re,1R, Fi aAL 11 2,65 FINAL HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED RIOR T INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT-LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY- SEE REVERSE • • SPECIAL CONDITIONS CASE # 1.) The application was reviewed by the Jefferson County Department of Community Development staff on Deccember 3, 3004 for the potential presence of Environmentally Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an initial Geographic Information Systems mapping review and an investigative site inspection, the following ESAs were confirmed to be present on the subject property: landslide hazard area 2; erosion;SUSC aquifer recharge area; coastal SIPZ; rural forest lands. 2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological formations that allow percolation of the surface water into the soils and the underlying zone of saturation. Aquifers are geologic formations that contain sufficient saturated permeable material to yield significant quantities of water to wells and springs. Aquifers serve as the source of drinking water within most of the rural portions of Jefferson County. 3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions that promote rapid infiltration of recharge waters to groundwater aquifers. 4.) Geologically Hazardous Areas in Jefferson County are characterized by slope, soil type, geologic material, and groundwater that may combine to create problems with slope stability, erosion, and water quality during and after construction or during natural events such as earthquakes or severe rainstorms. 5.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500)feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 6.) Marine shorelines and islands are susceptible to a condition that is known as seawater intrusion. Seawater intrusion is a condition in which the saltwater/freshwater interface in an aquifer moves inland so that wells drilled on upland areas cannot obtain freshwater suitable for public consumption without significant additional treatment and cost. Maintaining a stable balance in the saltwater/freshwater interface is primarily a function of the rate of aquifer recharge (primarily through rainfall) and the rate of groundwater withdrawals (primarily through wells). The Washington Department of Ecology is the agency with statutory authority to regulate groundwater withdrawal for individual wells in Jefferson County. New development, redevelopment, and land use activities on islands and in close proximity to marine shorelines in particular should be developed in such a manner to maximize aquifer recharge and maintain the saltwater/freshwater balance to the maximum extent possible by infiltrating stormwater runoff so that it recharges the aquifer. 7.) The parcel is located within a coastal SIPZ (seawater intrusion protection zone) according to the County GIS map. There are voluntary and mandatory measures identified in the Jefferson County Seawater Intrusion Policy(Resolution 44-22, effective September 23, 2002)that apply to well drilling proposals and building permit applications on existing lots of record. A Coastal SIPZ is defined as: all islands and area within one-quarter mile of marine shoreline, but no history of chloride concentration above 100 mg/L in groundwater sources within 1000 feet. 8.) A vegetative buffer of 30-feet shall be permanently maintained from the top or edge of the Landslide Hazard Area. All buffers shall be measured perpendicularly from the top of the Landslide Hazard Area. 9.) Landslide Hazard Areas anIeir associated buffers shall remain naturall•getated. Should buffer disturbance occur during construction, the Unified Development Code (UDC)Administrator shall require replanting with native vegetation. No alterations shall be made to the Landslide Hazard Area or its associated buffer without prior authorization by the UDC Administrator. 10.) Prior to and during approved construction activities, the perimeter of the landslide hazard area buffer shall be marked with a temporary sign. The sign shall be placed in such a manner that it can be directly observed from the construction area. The sign shall contain the following statement: "Landslide Hazard Area and Buffer- Do not Remove or Alter Existing Vegetation." 11.) All construction activities shall not encroach upon the landslide hazard area buffer. This includes the storage or preparation of materials. 12.) The applicant shall permanently separate the boundary of the Landslide Hazard Area Buffer from the remainder of the subject property through installing logs, trees, a hedge row, or any other prominent physical marking approved by the UDC Administrator. 13.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water quality degradation. The submitted proposal does not require additional aquifer protection measures. However, during construction the project shall follow the Best Management Practices (BMPs)and facility design standards as identified and defined in the Stormwater Management Manual for the Puget Sound Basin. 14.) To help prevent seawater from intruding landward into underground aquifers, all new development activity on Marrowstone Island, Indian Island and within 1/4 mile of any marine shoreline shall be required to infiltrate all stormwater runoff onsite. 15.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: Water conservation measures: 1. Roof and other intercepted precipitation shall be routed to on-site detention ponds and/or other approved means and allowed to be released to the soil slowly. 2. Water collected from Storm water and roof catchments may be used for watering lawns and gardens. Unless catchment water has been treated to meet drinking water standards, there shall be no cross connections allowed between the potable supply and impounded water. 3. Water withdrawn from wells on each property shall not be used for watering of lawns and/or gardens. 4. Ground water withdrawn from each property shall be restricted to a rate of three (3) gallons per minute. 5. Installation of water conserving fixtures such as low flow toilets, faucets and shower restrictors and other water saving plumbing fixtures. 6. Landscaping plan (xeriscaping, native vegetation with minimal amounts of irrigation). Please NOTE that the above listed measures are not intended to be exhaustive, but rather is intended to be illustrative of the types of water conservation measures. 16.) VOLUNTARY MEASURES OF COASTAL &AT RISK SIPZ: 1. Installation of a flow meter. 2. On-going well monitoring for chloride concentration. 3. Submittal of monitoring data to County. 17.) MANDATORY MEASURES FOR COASTAL SIPZ: 1. For proof of potable water on a building permit application, applicant must utilize DOH-approved public water system if available. 2. If public water is unavailable, a qualifying alternative system may be used as proof of potable water or an individual well may be used as proof of potable water subject to the following requirement: a. Chloride concentration of a laboratory-certified well water sample submitted with building permit application. 3. If public water is unavailable, a qualifying alternative system may be used as proof of potable water. 18.) The property owner shall comply with Water Conservation Measures (per list maintained by the UDC Administrator). 19.) A flow meter shall be installed prior to final sign off of the building permit. 20.) The applicant is proposing to create or add 924 square feet of impervious surface and 950 square feet of land disturbing activities. 1 21.) The project shall adhere to itest Management Practices (BMPs)to con, stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 22.) Jefferson County determined that this proposal is categorically exempt from review under the State Environmental Policy Act (SEPA) pursuant to WAC 197-11-800(1)(b)(i). 23.) The site plan as submitted with the building permit application on November 30, 2004 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated December 3, 2004 shall be resubmitted for review and approval by Jefferson County Department of Community Development. 24.) This approval is for a manufactured home installation only. Any future permits on this site are subject to review for consistency with applicable codes and ordinances and does not preclude review and conditions which may be placed on future permits. 25.) Outdoor residential storage shall be maintained in an orderly manner and shall create no fire, safety, health or sanitary hazard. 26.) Not more than two (2) unlicensed or inoperable vehicles shall be stored on any lot less than one-half acre unless totally screened from view of neighboring dwellings and rights-of-way. Such screening shall meet all applicable performance and development standards specific to the district in which the storage is kept, and shall be in keeping with the character of the area. Screening shall meet the requirements of Unified Development Code (UDC) Section 6. Outdoor storage of thirteen (13) or more unlicensed or inoperable vehicles is prohibited except in those districts where specified as an automobile wrecking yard or junk (or salvage)yard and allowed as a Permitted Use in Table 3-1 of the UDC, and such storage shall meet the requirements of UDC Section 4.10. In no case, shall any such unlicensed or inoperable vehiclesbe stored in an Environmentally Sensitive Area (ESA). 27.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of impervious surface which includes roof tops, driveways, concrete, etc. 28.) The building height is not to exceed 35 feet. 29.) Minimum setback from East Quilcene Road right-of-way shall be 20 feet. Minimum setback from Mountain View Road right-of-way shall be 20 feet. Minimum south and east property line setbacks shall be 5 feet. Minimum north property line setback shall be 100 feet from the adjacent rural forest land parcel. 30.) Exterior lighting for residential uses shall not exceed twenty feet (20') in height from the finished grade, excepting when such lighting is an integral part of a building or structure. Ground level lighting is encouraged. 31.) Lighting fixtures shall be designed and hooded to prevent the light source from being directly visible from outside the boundaries of the property. The intensity or brightness of all lighting, during construction and after project completion shall not adversely affect the use of surrounding properties or adjoining rights-of-way. 32.) A minimum of two (2)on-site parking spaces shall be provided for the single family residence. 33.) An address of 2701 East Quilcene Road has been assigned to the parcel. East Quilcene Road is a county minor collector road (C327508). 34.) The parcel has been designated as RR 1:5 under the Jefferson County Comprhensive Land Use Map effective August 28, 1998. 35.) A subdivision (SUB03--0028)was finaled on August 10, 2004 to create the two lots. 36.) The lot was created through the Newman's Domain Short Plat on August 10, 2004 under AFN 487988. JACK WESTEARAN III OEFFERSON COUNTY ASSESSOR ASSESSOR copy PO JEFFERSON COUNTY COURTHOUSE BOX 1220,PORT TOWNSEND WA 98368 (360) 385-9105 MOBILE HOME INFORMATION FORM OWNER'S NAME / MAILING ADDRESS: THIS IS NOT A TAX STATEMENT NAME: Aetam Ale,wihkel The purpose of this questionnaire is to obtain information ADDRESS: �j; Q ��5 � Ice�� R regarding either the current location of a mobile home or the A © previous ownership and location of a mobile home. This will OV;`ce-Ke-- 1 1 ! 3 76 help our office determine whether the mobile home is already on the tax rolls in Jefferson County or if it has been moved to TELEPHONE NO: (360) 76 5 9�� this county from another area. Please see reverse side for additional information. 1) MOBILE HOME 'DATA:t.rY' (A) MAKE 1)E R D (B) MODEL (D) LENGTH C6 /9 (C) YEAR (E) WIDTH (F)SERIAL NUMBER q�SQ6 (G) YOUR PURCHASE PRICE(DO NOT INCLUDE SALES TAX) r /iVU (H) PURCHASE DATE •"�•--09 2) PREVIOUS OWNER/ LOCATION OF MOBILE HOME: (A) FROM WHOM DID YOU PURCHASE MOBILE Pcm, e�,� ohS Z.w *rky tor ADDRESS 3QQ tC.�/i��Ubv1 j,k Pei, u t ne_ A 7 (B) WAS MOBILE HOME ASSESSED IN JEFFERSON COUNTY LAST YEAR? YES ® (IF NO,WHATLCOUNTY?����eCc�.A ) IF YES,WHAT WAS PREVIOUS ADDRESS OF MOBILE? 1406)1e, Ai o b SS T I1 •S 3) WHERE MOBILE HOME IS TO BE LOCATED: (A) WILL THE MOBILE HOME BE IN A MOBILE HOME PARK? YES (B) IF LOCATED IN A MOBILE HOME PARK: q NAME 8z ADDRESS OF PARK A/A SPACE NO. AM- (C) IF NOT LOCATED IN A MOBILE HOME PARK: NAME OF LAND OWNER: 41L /ve out LOCATION(ADDRESS) a7o/ eck6 f aUac e_ ,a �j A REAL PROPERTY PARCEL NUMBER/DESCRIPTION 4 r fl' of 47o t -2 a- // g� �b IVS:ri,�lri�lti'S � � N[7'�� I '�`� Domain Sherf Pia rccorde& Igo/ p"9e /9rt- /5 c' f recorc(.s f TdFFer��:l ����f. O/G.yh/ny'to K. THANK YOU FOR YOUR HELP! /66t41-L.— SIGNATURE KELLI LARSON, roperty Technician THIS FORM CONFORMS TO THE STANDARDS OF THE STATE DEPARTMENT OF REVENUE AND IS SUBJECT TO AUDIT VERIFICATION. f • • JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368 MANUFACTURED HOME INSTALLATION PERMIT APPLICATION N NEW BUILDING 0 REPLACEMENT I L A o4 _lob SIZE I!Lei. x ,F,/, YEAR /980 MAKE Cuero COST C 4/ BEDROOMS: BATHROOMS: TYPE OF HEAT: EXISTING 3 EXISTING IX ® Electricity 0 Oil PROPOSED © PROPOSED 0 RJ Woodstove 0 Propane TOTAL .3 TOTAL dg 0 Heat Pump 0 Other TYPE OF SEWAGE DISPOSAL: WATER SUPPLY: ❑ SEWER 0 COMMUNITY SYSTEM RI PRIVATE WELL 0 TWO PARTY WELL NI INDIVIDUAL SYSTEM ® Conventional 0 PUBLIC Name of water system: PERMIT# SEP03-OO155 0 Alternative IF WATERFRONT PROPERTY, DISTANCE TO BANK OR HIGH WATER LINE NA _ft BANK HEIGHT ,A 4 ft By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attomey's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and it's employees,representatives or agents for the purpose of application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and shall occur during regular business hours. SIGNATURE kif „... d 3 DATE q _, 9 -011 NAME (PLEASE PRINT) yy Wp;,s i'1 „ FOR OFFICE USE ONLY CONSISTENCY REVIEW FEE '441V RECEIPT,/ Lt p'7', BASE'FEE 161 CASH/CK# 5 ADDITIQNAL SECTIONS —.—.1 DATE 'I /47/ POTABLE WATER 91 1/ROAD APPROACH i�E O ....t t :r @ `F PROPANE TANK `�'. 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